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2698 MEDFORD CT; ; 85-97; Permit
tic -T"'r I hereby affirm that I am licensed under o [ ~vlsio. ns of Chapter_ 9 (commencing. with. 0 Section 7000) of Division 3 of the Business ,c and Profess!ons Code, and my license 1s in ~ :~ti ~~rw;i •~~11 C1a11 (. ~ Z 0 0 .. z 0 ;:: .. ,. .. ., 0 .. Q ,. .. Q ., 3 .. ii: .. z 3 0 z 0 ~ z .. .. ,. 0 0 .. ir .. " ,. 0 3 ![ I hereby afltrm lhat I am exempt from The Contrac !or's License Law 10, !he lollowmg reason !Sec 7031 ~ Business and Professions Code Any c,ty or count·1 wh,cr, re ou,res a perrn,t TO construct. al!er improve. demolish or repair any struclure. prior to ,Is issuance a so reau,res :reap pl,cant for such pem1,1 to 1,Ie a s,qned s•are,...,enl that he ,s tIrnnsed pursuant to the prov,S<ons of the Loniractor; License Law 'Chaoler 9 commencing w,t~ Section 7000 Df D,v,s,on 3 of the Business and Professions G~de; or I hat ,s sx emol t~ere1rom and the basis !or the dllegea exempl,on Any ·,iola1,on ol Section 7031 5 by an appl1canl lor a perm,1 sub ects lhe apol1cant to a civil penalty of not more Than five hun dred dollars ($$00! I as owner ol the property, or my employees w,1n wages as their sole compensation will do the work. and :he s1,uc ture Is not intended or offered for sale (Sec 7044 Bus,ness and Proless1ons Code. The Contractor's License Law does not apply lo an owner ol property who builds or improves thereon and who does such work himself or lhrough hrs own employees, prov,ded that such Improl'ements are not rntend- ed or altered tor sale_ II. however. the bu,ld,ng or improve· mem Is sold w1th1n one year ol completion. lhe owner-builder will have the burden of proving !hal he did not build or ·m- ~rove for the purpose ol sale) J I, as owner ol the pro~erty. am exclus11'ely contrachng w1lh licensed coniractors to construe\ the pro1ect (Sec 7044 Business and Protess1ons Co(le: The Contraclor's License Law does not apply to an owner of property who buI1ds or im- proves thereon. and who contracts for each pro1ec1s w1ttl a contractor(s\ I,cense pursuant to the Contractor's License Law) As a homeowner I am ,mprovrc,g my home. and the follcw Ir,g cond1t1ons ex1sl 1 The work Is being perlorrned ,mor to sale 2 I have lived ,n my home for twelve mon1~s prior to completion of lhIs work I have not claIrried th,s e~emp1Ion during 1ne last three years for t'ti~: r~~~~t under Sec ----~f- 0 I hereby a!t1rm \ha! I hate a to selt insure. or a c~n Compensa.11on Insurance (Sec 380), Labor Code! POLICY NO COMPANY 0 Copy ,s f,led w,11' the Cl! 0 ~'11hed copy ,s heretJy lurrHS~ed B & PC CERTIFICAH. OF EXE:MPTION FROM WORKERS COMPENSATION INSURANCf: /Th,s sec1,on r,eed not be comple:e,l ,1 :hP ;,.,,m,t ,s tor one hundred dollars 1$1001 or less ~ eri1ty tnat Ir. 1he per1ormance ()f :11"' Nn'1< ''". this perm,1 ,s ,ssued. I sha,I ~ot ernµ,o, ..,-,, ,n any manner so as 10 t>ecome sub ec• 1, the Workers Compens.c1,on La"'s Df Ca.,to,n,d NOTICE TO APPLICANT It alter mak,n:, 1n,s Cen, locate ol Exempt,on you should t,ecofl'e sul'>lf'CI 1, lhe Workers Compensa1•on pHJ-is,ons ot the LJDOr Cooe you musl tonh..,,1h comply "''th such prov,s,ons or lh1s perm,\ s~,all be deemed ,,.,,,~,>d D I heretJy a!trrr<" lhal !here ,s a 0_,;1r,slru, •·u~ lend,ng agency •or lhe pe'1urmar>LP ,:,' 'he ,.on, te,, ..,h,ch 1h,5 permit '$ ,~~~ed ,,S,e, l097 C,s I COOP, l eriaer s Name, ___________ _ Lenders Aad,ess __________ _ u:;t l:IALL t'UIN I t'tll UNL f ll, t'Kt:)!i nAKU J"l.r r L.IVJ"l.l'I I IV r1L.L. 11• ,,. , .... , ... ,,..' , ........ , 1 1 ,,, ..... ,,... ...... .., ,.., ............. .., ----·" "•' ·-' ·-· CARLSBAD BUILDING DEPARTMENT APPLICATION & RMIT 1 1200 Elm, Carlsbad, California 92008·1989 {619) 438-5525 I JOB-ADDRESS AV. ST. RO. NEAREST CROSS ST. DATE OF APPLICATION BUSJNE PERMIT NUMBER ' 1 tot/ 8 ~-Fa/LrLJ c.<r 7-'-/-8 ~ LOT BLOCK s°UBDIVISION I OWNER'S NAME 1.,Vr'lll1"1Alf1Vl1:!;l"H0NEII I ZONE' L(?,-/11 r 11ir:-11 I ./J/) c; r,-7, . ./,J,c CONTRACTOA'SADDAESS I f~f<(J-L ,,-· 'f "fn /'::-A-,.--;;, ,{ / r / ~ · A I 1 OWNER'S MAILING ADDRESS J D · c ,._, Lr-11411,t1.0 LICENSE NO. I PLAN 1.0. # '-IO/n 8 9'1 BLDG USE CODE : ¥1-111">-,i(JFo"--C:.. ,,,.-DESIGNER ucENse. STANDARD PLAN II eu1LotNG sa. FOOTAGE I F WORK I J--/.'---'\--------------j'-,L------~=..-----------,11 OESIGNEA'S ADDRESS OES!GNE R'S PHONE ' '<f" ''--"'---""'~:5,--i;Jl~c.J-<:...-c::■:_-lleJ.Ui,,l_L~~---'c:::?l~~l--F.P FLA ELEV NO OCCGP EDU I STORIES I vD NO __ _ I CENSUS TRAC1 GP l_ANO USE PARKING SPACE: RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE OCC LOAD FIRE SPP I AREA CONST Nnr 1/;,Jirl /Jnll"it Machine Certified I YO ND •ONO vOND ----------- 1 I QTY. ~ QTY. MECHANICAL PERMIT -ISSUE ':f-SUMMARY/ACCOUNT NUMBER, 'f--+---------------..;..__,f-.C::..---jf---+~-------------+-----1--~====----~~==~~----6"'=--,."Se--< 1 EACH ~IXfURE TRAP U BUILDING PERMIT 01-00-00-8220 t------jS,,C.L 0 EACH BUILDING SEWER -------+--SIGN PERMIT 01-00-00-8221 .J.--, 1 EACHWATERHEATEHANOORVENT ~--PLANCHECK 01-00-00-8806 '1"=i....,3.1\ PLUMBING PERMIT -ISSUE I --·- I EACHGASSYSTEMlT04UUTLETS TOTALPLUMBING 01-00-00-8222 . 17t~ ! EACHGASSYSlE:MJ0RM0fH -'----~· ELECTRICAL 01-00-00-8223 La,--. : E_!l._£_H_~~S1A~ ALTER, REPAIR IJ,'ATER PIPE -:_:--l-----~--1-MECHANICAL 0i·00-00-82244 __ -_-_-______ _. I EACH VACUUM BREAKER MOBILEHOME 01-00-00-8225 MOBILEHOME PARK l~SP I I L~l~~_:::_1-' WlilF !,'RC-. ·: ' ~.:, X, _ $OLAR 01-00-00-8226 _., 1 u 11-1L MtLHANIL.AL I I STRONG MUTIor,; s□-92-33-0519 II --r -f/ -~Di _ _ _ I ~ ~~R_I_NKLERS 01-00-00-8227 :1 -1 1 ~LIC FACILITIES FEE 32-00-00-893)-+-: rnv c:.ni ll.R. 1c:.ca11= ---:;> -----· ----1 BRIDGE FEE WATER SO~Tr.JER HHUCAllUN Ut-1::A FURNACE·HEATER ------+---------j----------- .-_tt;; COLLEC-IWS SCHOOL FEE -DISTRICT l -------srnRAG[ THrJVs Carlsbad 80-92-21-0519 ! [ RQCk ST:JR.",G[ Ericin1tas II I P'Jt.P I~ 01egu1to -f . -11 P·_MJ Cf-lECK IE[ If San Marcos 80-92-22-0519 80-92-23-0519 I 7 80-92-24·0519 - 1 nrv,PPOLt tllGKMPS I 1 1 OVER ][JU AMPS I j LICENSE TAX 01-00·00-8162 --- 1 I -1 TEMP O[CUPANCY '30 UAYSI i MFF 80·92-57-0519 / , I ' --I ~ -CREDIT DEPOSIT L r, ""' r > __ _,_ ~ TOTAL f'L[Ufll[AL I / I TO"A! SOLA:J ! TOTAL FEES PAYABLE I ;' ;? /, l 0 -1 1 ~~ ~l,, ' ' ' I .<!' LL c m 0 °' E © r D 0 (') C m u °' °' "' I ~ C CL 0 w w © w w "' I ~ 2 ,; >- w w © u 0 ,t m ;;; 0 ~ © u C m C LL ~ C © ~ (') 0 0 © °' w C I f HAVE CAREfULI,.)' EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expir.ation. Every per_m1t issued by the Building 0.fl,cia! under the provisions of this * ,\N OSHA PERMIT IS REQUIRED FOR EXCAVo\.TIONS OVER CERTIFY UNDER ~ENALTi'OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llmitahon and become null 1nd void If the building or work 5· O" DEEP o\.ND 0£MOLITK)N OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhorized by such permit 15 not commenced wilh1n lBO days from the date of such STRUCTURES OVER 3 STORtES IN HEIGHT <lJ permit, or 11 the bu1ldmg or work authorized by such permit ,s suspended or --::: ISSUED: TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned at an lime alter the work ommenced for a nod of 180 da s .c STAUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND S KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND OWNER 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAtD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT I TYPE I DATE INSPECTOR BUILDING I FOUNDATION I REINFORCED STEEL I ~✓.2 ~. MASONRY I -L"'7 GUNITE OR GROUT I ·<-✓ ,~""71 ., /,,,'\' . FLOOR & CEILING SUB FRAME I " - SHEATHING □ ROOF □ SHEAR FRAME I EXTERIOR LATH I ' INSULATION I INTERIOR LATH & DRYWALL I . I PLUMBING I SEWER AND BUCO DIPUCO I UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN ' ' GAS TEST I □ WATER HEATER □ SOLAR WAtER I ELECTRICAL I . □ ELECTRIC UNDERGROUND □ lJIFFER (,11..,:.. .. ' -., -- ROUGH ELECTRIC ' ~ . □ ELECTRIC SERVICE □ TEMPORARY □ BONDING 1K'POOL I , I MECHANICAL ' □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS 7 ' I . -. ' . -< ",,; VENTILATING SYSTEMS ~ .. -' 7 . CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VB BEEN APPROVED FINAL I PLUMBING I I--" ELECTRICAL I ""-.I.. .J MECHANICAL I -IJ L GAS I 7) / BUILDING I I ,l Li. \I SPECIAL CONDITIONS I...-/,,, I __ E'S .. ~ ·2~.,., - ..,; . ~ . FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES INSPECTION DATE REO IFaNSPECTOR S CHECKED APPROVAL F========~-~-=~--~--------... ' -- S01LS COMP A'\i\"E Pf~IOR 70 FOUNOATIOr'\· 11'-.SP STRUCTL_JRt\L CONCf-lE-~l OVER 20C0 P~1°i PRESTHESSED CONCRETE POST TENSIC·NEC CONCRE ff ----t-------- I ----r-----f---------+-·----, FIE~ CJ 1/';'EL 01'\JC; Hl(~H STHENGT!-! BOL is :-;PECIA, \lA~:J_~•r:;°\'r C -+--- ' ---t-----l---" l ____________________ .'...:_-"----1 r;:;:·;, C~•CSO',' •• ___ + +-. II ~ f--·------_'_L_ -------__ _J_ ___ _ ,-. r--------+ --t------+-----• ~ •C t---------+----·t ------+------, r-------------------___:__-'-------''-'-----I t---------+-----+- ----------t-------------i ----- -------+------ i ~-----· ---------___ , . . ~. -----" • • .. fl.AN CHECK N~IHBER-~ -o/7ADDRESS.....;;J_a::;__:6:...a1,~,j7_&0____;;~~"-.=---__;;DATyf;ff.S- •• PLANNING: TYPE OF STRUCTURE. ___ ....i;f?,-'-'~'-· _-1-,.-;;-r-___ ._._· __ _ "" .... 3: .... SCHOOL FEES: SAN DIEGUITO ------- CARLSBAD ______ _ % COVERAGE. __________ _ BUILDING HEIGHT ----------FENCES/WALLS _________ _ TWO CAR GARAGE. _________ _ ZONE: ____ _ ENCINITAS ______ _ SAN MARCOS_-____ _ REQUIRED SETBACKS ____ _ FRONT---,..---..,......-...-- SIDE._75~..:;._,7~~- REAR._~V;.__ _____ _ ;;: ~ COMMENTS: _________________________ _ ~~ "'oz: □ ua: ...,_ REDEVELOPtlENT APPROVAL REQUIRED: __________________ _ .:: ffi □ ~, □ LANDSCAPE PLAN COMMENTS: ___________________ _ ENVIRONMENTAL REQUIREp!..: ___________________ _ ADDITIONAL COMMENTS=--: ---------------------- OK TO ISSUE: ~DATE: 2.,,µ_r/4(0K TO FINAL: DATE: ) --------- ** **** ~**** ***************** ENGINEERING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED? v P.F.F. ______ PARK IN LIEU _______________ _ R.O.W: IMPROVEMENTS: ______________ _ _______________ E.D.U: ___________ _ SEWER: LATERAL: DRIVEWAY: _________ _ "" .... GRADING PERMIT: 3: .... -..., > ,-.. DRAINAGE: .... ~ "" 5 EASEMENTS: 0 l2, □ 80 □ ,-.. ..., ua: ...,_ "" ::, ' 01:0' □ A;; o .... ua: OK TO ISSUE: __ ....,. _____ ADDITIONAL COMMENTS: ______ _ ~~ ------DATE :_..:;j;...,..,,.//_"'r ___ ....,., ........ r ..... J.__ __ _ * ENGINEERING INSPECTION REQUIRED: _______________ _ PUBLIC WORKS INSPECTOR: __________________ _ FINAL OK: __________ _ DATE: ___________ _ * IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS (DRIVEWAYS, CURB CUT, DRAINAGE, ETC.) • 1700 ELM AVENU! CAR lSSAD, CALll'ORNIA 92008 Tt: LE Pl 1011::': (714) 119-1181 This document will certify that I am aware of the provisions of the California Administrative Code, Title 24, Section T20-l406(c), "Swimming Pool Heating", as shown on form DPL #297. I understand that neither a swimming pool building permit using a fossil-fuelerl heater nor a plumbing/electrical permit for a new or replacement fossil-fueled heater will be issued until this certification is executed. For the swimming pool located at 7, ( f 8 /11rfd,Co L :1 C. V---- (site address) I certify that all of the following requirements for fossil-fueled (or electric) swimming pool heaters will be met: 1. Outdoor pools shall ?e equipped with a pool cover. 2. ON-OFF switch on outside of heater to allow shutdown without adjusting thermostat and start-up without relighting pilot light. 3. 36" minimum length of plumbing provided between filter and heater to allow future solar installation. 4. After January l, 1982, new heaters installed must have 75% thermal efficiency. 5. Time clocks installed to allow pump operation during off-peak demand periods (unless pump used for active solar). 6. Directional water inlets in pool for good mixing. Print Owners Name: Owners Signature: Print Contractors Name Contractors Signature: Address: Date: 1 d~9-8J f''?rcr-,,, 'l>ff (' ,,/. C/r?.t?'L. ✓